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Inpatient Charge Data FY 2014

The data provided here include hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for discharges, paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG) for Fiscal Year (FY) 2014. These MS-DRGs represent more than 7 million discharges or 75 percent of total Medicare IPPS discharges.

Hospitals determine what they will charge for items and services provided to patients and these charges are the amount the hospital bills for an item or service. The Total Payment amount includes the MS-DRG amount, bill total per diem, beneficiary primary payer claim payment amount, beneficiary Part A coinsurance amount, beneficiary deductible amount, beneficiary blood deducible amount and DRG outlier amount.

For these MS-DRGs, average charges, average total payments, and average Medicare payments are calculated at the individual hospital level. Users will be able to make comparisons between the amount charged by individual hospitals within local markets, and nationwide, for services that might be furnished in connection with a particular inpatient stay.

06/23/16 UPDATE:

The Inpatient Charge Data and the MS-DRG Summary Tables have been updated to include all MS-DRG discharges from IPPS hospitals, which in prior years (FY2011 through FY2013) are limited to only the top 100 MS-DRG discharges.

Previous year’s data (FY2011 through FY2013) have not been re-published to include all MS-DRG discharges.

Data are available in three formats:

  • An online interactive dataset (allows users to sort and filter data directly without downloading).
  • Microsoft Excel download (.xlsx)
  • Comma separated values download (.csv)

Detailed Data:

Interactive Dataset: Inpatient Charge Data, FY2014, Interactive Dataset

Downloadable Excel: Inpatient Charge Data, FY2014, Microsoft Excel version
Downloadable CSV: Inpatient Charge Data, FY2014, Comma Separated Values (CSV) version
  

MS-DRG Summary Tables:

Interactive Dataset: National Summary of Inpatient Charge Data, FY2014, Interactive Dataset

Interactive Dataset: State Summary of Inpatient Charge Data, FY2014, Interactive Dataset

Downloadable Excel: National and State Summaries of Inpatient Charge Data, FY2014, Microsoft Excel version
Downloadable CSV: National and State Summaries of Inpatient Charge Data, FY2014, Comma Separated Values (CSV) version

Inquiries regarding this data can be sent to MedicareProviderData@cms.hhs.gov.

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